mi75

So as I mentioned in my last thread, I had VSG in 2014. I did quite well for a decent amount of time but after really losing focus of my diet and lifestyle I have had significant regain. I have literally had GERD my entire life. When my surgeon initially told me that VSG WAS an option, I decided to go ahead with it thinking it was a much 'safer' option than RNY. He did reassure me that the GERD I had was directly related to my significant abdominal weight and that with weight loss it would subside. It DID, and eventually I went from a double strength PPI twice a day to a H2 blocker (at my lowest weight) a few times a week. I thought I was over the moon with this! However, fast forward about 4 years and now my GERD is worse than ever, I literally have productive reflux now. I will be sitting and talking to my husband and what I ate a couple hours ago will just shoot up to my throat without warning (I just read another thread saying this same thing). I get it SO bad when I lay in bed that I will run to the bathroom and literally spit out acid. When I had my VSG I had a hiatal hernia repair too, and I was under the impression that was a permanent fix but i'm thinking maybe not. I have EGD this Thursday and frankly, I am petrified scared of what she will find. I'm not worried about my sleeve but I AM worried that there is irreversible damaged to my esophagus or God forbid, esophageal cancer is found. IF I am found to not have anything significant, I've decided to go ahead with a revision for my longterm health. I have been on PPIs for decades. I want off of them. And I want to conquer the regain.

I'm an old VSG Vet, had my surgery in 2014. Initially lost a successful amount of weight. had some serious 'life' events- change of job, change to night shift, loss of parent, went to grad school and graduated, went to a second grad program, changed career path, etc. I was told in 2017 I had a serious metabolic issue with my liver and that helped me really get focused, went to keto and lost all the regain I had plus much more, resulting in 100lb total loss. Since then, though, I've regained probably 50-60 lbs. I still feel some restriction which is great. Long time issue has been GERD, it was severe PRE surgery but my quite renowned surgeon assured me that with the weight loss, the GERD would subside. It did. But with the weight gain over last 2 yrs, it's back and BAD. I have EGD and colonoscopy coming up in a few weeks to assess the damage. I'm very scared due to the ongoing severe nature of the symptoms I'm having. I'm a healthcare provider so I know all of the 'things' that could present. Because of all this, I'm heavily considering a revision. I have been on PPI for over 20 years. While my magnesium is fine, my bones are already having a lot of issues AND I'm scared to death of the brain effects. What should I consider with revision, same doctor, different doctor, etc? Also I know that weight loss can be slower, but what type of rate of weight loss can be expected? Lastly, what kind of time off from my career can I hope for? I took 6 solid weeks with my VSG and it helped get my brain, behaviors etc really corrected before going back into the workplace.

Hi vets- It's been TEN years this year since I had my surgery. I hate that I'm writing this, realizing that I became the stereotypical regain person that I NEVER pictured I would be. I had so many life events- parent death, spouse job change, personal job change, night time job, kiddo diagnosed with severe anxiety/depression, etc etc and have had some regain. Has anyone got a good 'recipe' for regain/reset? I've read multiple posts here from someone recommending 2 shakes plus 1 meal a day. Ideas? Can anyone offer some wisdom to a failed sleever?